Urinary Problems

Hello, I am Dr Anil Agarwal I am a practising Urologist for the last 15 years, I practice in Rohini in Delhi. Today I am going to talk about urinary problems faced by both men and women. Let's start with problems faced by women first, women may have four types of problems like burning in the urine, difficulty to pass urine, increase frequency to pass urine and sometimes involuntary leakage of urine. Burning in urine is generally due to infection and it is very common starting from a young age to the elderly, this is very common in the very young girls and elderly females, treatment is very simple with medication. Now when women have difficulty to pass urine, they have strain to pass urine it means there is a structure of the urinary pipe i.e. urethra. Third, when women have increased frequency to pass urin that is due to changes in the bladder wall musculature which results in increase times that a woman has to go to pass urine during the day and night, they may have also experience the urgency to pass urine and sometimes during the urgency they may even leak urine. Now, most of the women are hesitate to come to the doctor because they feel what kind of physical examination that will be done, I assure all women that no physical examination is required, it is only some tests that may be required and treatment is with medication. Even if some procedure is required endoscopy which we called cystoscopy toh kripya zizak na karen aur apne doctor se sampark karen, kisi tarah ki physical jaanch nahi ki jati hai. There is another condition called stress urinary incontinence in which women may pass urine during coughing or sneezing, this is due to laxity of the pelvic floor muscles when the muscles become lax they do not support the urethra and the patient may pass urine during sneezing and coughing. The treatment is with some exercises and those people who do not respond to the exercises may need a very simple surgery which is Day Care surgery, in which we put a tape below the urethra and patient can go home the same evening. So that was about women, in short, now let's discuss urinary problems in men. In males generally, they have 5 types of problems like a urinary infection in which they experience burning in the urine treatment is simple with antibiotics under the care of a urologist. Second, they may have prostatitis, prostatitis is the infection and inflammation of the prostate gland, it occurs in young males treatment is simple with antibiotics and other medications. The third thing which is more important and which is very important in an elderly male is BPH that is enlargement of the prostate gland. In young age, the prostate gland is very small and generally, it becomes walnuts size gland at the age of around 50 years, most of the males have problems after 50 years. In which what happens is when the gland enlarges then it compressors from the urethra and there is difficulty to pass urine, generally these patients have a weak stream increased frequency to pass urine during the day and night, they may have sense of incomplete wording, they may have straining, they may have recurrent urinary infections, these patient are first investigated with ultrasound and urine analysis, kidney function test and the euroflomia treatment after that the treatment is started. In my practice and with the experience that I have, that 9 more than 90% of these patients can be treated from medications alone which are very safe. Now, what happens if you ignore these urinary problems in males, the urinary problems if you ignore may have a recurrent urinary infection, stones in the urinary bladder and may even lead to damage to the kidneys. So I urge the people not to ignore this problem and to consult a urologist. Fourth we may have a condition called cancer in the prostate if detected early then it is potentially curable. Fore thing is stricture urethra it might be difficult to treat urethra but now under endoscopic surgery helps a lot. If you have blood in the urine please don't ignore blood in the urine it may be a tumor in a urinary bladder, you have to consult a urologist and I assure you the treatment is very simple and it is endoscopy. Thank you all for a very patient hearing and wish you all the all very happy and healthy life.